Organization Active NPI

Parkway Pharmacy South, LLC

Doing business as Parkway Pharmacy

  • Community/Retail Pharmacy
  • Arab, AL
National Provider Identifier
1659468676
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
107502 Issued in AL
Legal business name
PARKWAY PHARMACY SOUTH, LLC
Doing business as
Parkway Pharmacy
Practice address
606 N Brindlee Mountain Pkwy
Arab, AL 35016-1068
Phone
(256) 586-4120
Fax
(256) 586-1135
NPI assigned
Oct 10, 2006
Last updated
Apr 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Timothy Brandon BarcliftNPI 1295605509
Title
Pharmacist/Owner
Phone
(256) 653-9622

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 107502 AL Primary

Addresses

Primary practice location

606 N Brindlee Mountain Pkwy
Arab, AL 35016-1068

Mailing address

606 N Brindlee Mountain Pkwy
Arab, AL 35016-1068
Phone (256) 586-4120

Other identifiers 1

IdentifierTypeStateIssuer
100000071MedicaidAL

Other names 1

  • Parkway Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240227003069 AL Part B Supplier - Pharmacy 5991140162 1 other NPI on this enrollment
Practice locations: Arab, AL

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

606 N Brindlee Mountain Pkwy
Arab, AL 35016
Phone (256) 586-4120

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713916800000",
    "number": "1659468676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 N BRINDLEE MOUNTAIN PKWY",
            "city": "ARAB",
            "state": "AL",
            "postal_code": "350161068",
            "telephone_number": "256-586-4120",
            "fax_number": "256-586-1135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 N BRINDLEE MOUNTAIN PKWY",
            "city": "ARAB",
            "state": "AL",
            "postal_code": "350161068",
            "telephone_number": "256-586-4120",
            "fax_number": "256-586-1135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKWAY PHARMACY SOUTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2024-04-24",
        "certification_date": "2021-03-08",
        "status": "A",
        "authorized_official_last_name": "BARCLIFT",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "BRANDON",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "256-653-9622"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "107502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100000071",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parkway Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arab, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.